MedSurg - Pain Questions

A patient is being seen in the ER following a motor vehicle accident (MVA). He is having severe back pain. The preferred route of administration of medication in the most acute care situations is which of the following routes? a) Epidural b) Intravenous c) Subcutaneous d) Intramuscular

Intravenous

A nurse is employed at a healthcare facility with a recent influx of many clients from a particular culture. The nurse is presenting information about the effect of one's culture on pain perception to a group of unlicensed assistive personnel (UAP). The nurse evaluates that the students need reteaching when one of them states a) "Our perception of pain may differ from a client's as a result of cultural differences." b) "A client from this culture always exaggerates his or her pain." c) "Clients learn from others how to respond to pain." d) "Age and gender may explain differences about perception of pain."

"A client from this culture always exaggerates his or her pain."

Which of the following statements when made by a cancer patient with moderate-to-severe pain prescribed oxymorphone (Opana IR) indicates further instruction is required? a) "I can also have this medication in an extended release tablet." b) "I will take this medication with breakfast for the best results." c) "The IR indicates I will get fast relief when I take the medication." d) "I will stop drinking beer while I'm on this medication."

"I will take this medication with breakfast for the best results."

The nurse applies a transdermal patch of fentanyl for a patient with pain due to cancer of the pancreas. The patient puts the call light on 1 hour later and tells the nurse that it has not helped. What is the best response by the nurse? a) "It should have begun working 30 minutes ago. I will call the doctor and let him know you need something stronger." b) "It will take approximately 12 to 18 hours for the medication to begin to work, so I will give you something else now to relieve the pain." c) "It will take about 24 hours for the medication to work. I can't give you anything else or you will overdose." d) "You have probably developed a tolerance to the medication."

"It will take approximately 12 to 18 hours for the medication to begin to work, so I will give you something else now to relieve the pain."

A client informs the nurse that he has been taking ibuprofen every 6 hours for 3 weeks to help alleviate the pain of arthritis. The client has a history of a gastric ulcer and is taking a proton pump inhibitor for the treatment of this disorder. What should the nurse instruct the client about the use of the ibuprofen? a) "Don't you know that you can cause bleeding when you take that medication so often?" b) "It would be best to contact the physician prior to take any over-the-counter medications." c) "You should never take ibuprofen; it can cause considerable problems." d) "Ibuprofen is contraindicated when taking a proton pump inhibitor."

"It would be best to contact the physician prior to take any over-the-counter medications."

A client is receiving morphine through a patient-controlled analgesia (PCA) system following surgery. The nurse states to the client a) "Only you are to push the button for medication." b) "Whenever you hurt, push the button." c) "This will completely relieve your pain." d) "Wait until your pain is severe before pushing the button."

"Only you are to push the button for medication."

A teenage client is undergoing a dressing change to burns on the thigh. The client refuses pain medication and states, "I do not hurt, and I don't need it." He is withdrawn, grimaces, and turns away during the dressing change. He was last medicated 8 hours ago. The best statement by the nurse is a) "You are so brave to not take your pain medication when the dressing change will hurt." b) "If you need pain relief, I can give you some medication when I have completed the dressing change." c) "Please explain why you say you do not hurt when I see you grimacing during the dressing change." d) "You are so right to not take your pain medication. You can become dependent on the medication."

"Please explain why you say you do not hurt when I see you grimacing during the dressing change."

A client is prescribed morphine for a possible ankle fracture. When the nurse brings in a second dose of the medication, the client states, "This medicine made me sick." The nurse replies a) "What do you mean by the word sick?" b) "A lot of people have a similar problem with this medication." c) "I will notify your physician." d) "A nausea medication has been prescribed that I will give you."

"What do you mean by the word sick?"

A physician orders morphine sulfate 1 mg IV stat for chest pain. The drug is available in 2 mg per 1 mL syringe. How many mL does the nurse administer? Enter the correct number ONLY.

0.5 The dose ordered is 1 mg. The dose available is 2 mg. The quantity is 1 mL. 1 mg/2 mg x 1 mL = 0.5 mL.

The nurse is to administer meperidine (Demerol) 75 mg intramuscularly to a client. The medication is supplied in an ampule of 50 mg/mL. How many milliliters should the nurse administer to the client? Enter the correct number ONLY.

1.5 The dose ordered is 75 mg. The dose available is 50 mg. The quantity is 1 mL. 75 mg/50 mg x 1 mL = 1.5 mL.

The nurse is assessing a client who has been taking up to 4 grams of acetaminophen (Tylenol) every day for undiagnosed pain. Upon questioning, the client reports he also takes kava-kava for pain. To check for a reaction due to ingestion of acetaminophen and kava-kava, the nurse asks the client about a) Sensitivity to hot and cold temperatures b) Abrupt onset of rash and pruritus c) Excessive clotting of blood d) Shortness of breath

Abrupt onset of rash and pruritus

A client with appendicitis has an appendectomy. After surgery, what type of pain does the nurse anticipate the patient will have? a) Referred pain b) Acute pain c) Neuropathic pain d) Chronic pain

Acute pain

Acute pain can be distinguished from chronic pain by assessing which characteristic? a) Acute pain responds poorly to drug therapy. b) Acute pain is specific and localized. c) Chronic pain diminishes with healing. d) Chronic pain is symptomatic of primary injury.

Acute pain is specific and localized.

A patient is being treated in a substance abuse unit of a local hospital. The nurse understands that when a patient has compulsive behavior to use a drug for its psychic effect, the patient needs to be monitored for which of the following? a) Tolerance b) Addiction c) Placebo effect d) Dependence

Addiction

The nurse is obtaining data regarding the medication that the client is taking on a regular basis. The client states he is taking duloxetine (Cymbalta), an antidepressant for the treatment of neuropathic pain. What type of therapy does the nurse understand the client is receiving? a) Adjuvant drug therapy b) Replacement drug therapy c) Withdrawal therapy d) Alternate drug therapy

Adjuvant drug therapy

A client is receiving morphine sulfate intravenously (IV) every 4 hours as needed for the relief of pain related to a surgical procedure the client had 3 days previously. The physician is discontinuing the IV and will be starting the patient on oral pain medication. What would provide the client with optimal pain relief when discontinuing the IV dose? a) The client should be ordered the medication to be administered intramuscularly (IM) instead of by mouth. b) Administer a higher dose of the medication by mouth. c) Administer a lower dose so the client does not get addicted to the medication. d) Administer an equianalgesic dose.

Administer an equianalgesic dose.

A client with end-stage dementia is admitted to the orthopedic unit after undergoing internal fixation of the right hip. How should the nurse manage the client's postoperative pain? a) Administer pain medication through a transdermal patch. b) Administer analgesics around the clock. c) Administer oral opioids as needed. d) Provide patient-controlled analgesia.

Administer analgesics around the clock.

How should the administration of analgesics be scheduled to provide a uniform level of pain relief to a client? a) Administering analgesics with increased dosage b) Administering the analgesics intravenously c) Administering the analgesics on an as-needed basis d) Administering the analgesics every three hours

Administering the analgesics every three hours

The nurse understands that which of the following is true about tolerance and addiction? a) Tolerance to opioids is uncommon. b) The nurse must be primarily concerned about development of addiction by the patient in pain. c) Addiction to opioids commonly develops. d) Although patients may need increasing levels of opioids, they are not addicted.

Although patients may need increasing levels of opioids, they are not addicted.

When caring for a patient who is deaf, which of the following should be used to elicit information regarding the patient's level of pain? a) Verbally asking the rate of pain b) Computer-generated speech c) An outside interpreter should be used. d) Use of Braille

An outside interpreter should be used.

Prior to starting a peripheral intravenous line on a patient, what intervention can the nurse provide to decrease the pain from the needle puncture? a) Apply eutectic mixture of local anesthetic cream 30 minutes prior to the procedure. b) Inject lidocaine 2% with epinephrine locally around the potential procedure site. c) Apply diclofenac gel over the site 1 hour before the procedure. d) Give an oral opioid analgesic 30 minutes before the procedure.

Apply eutectic mixture of local anesthetic cream 30 minutes prior to the procedure.

A home health nurse is visiting a patient who has been taking the same dose of hydrocodone/acetaminophen (Lortab) for 2 months. To monitor for the presence of expected side effects of this medication, what should the nurse include in the assessment of the patient? a) Ask about the patient's bowel pattern. b) Observe respiratory rate and depth. c) Assess level of consciousness. d) Take the patient's blood pressure.

Ask about the patient's bowel pattern.

A client who fell at home is hospitalized for a hip fracture. The client is in Buck's traction, anticipating surgery, and reports pain as "2" on a pain intensity scale of 0 to 10. The client also exhibits moderate anxiety and moves restlessly in the bed. The best nursing intervention to address the client's anxiety is to a) Assess the reason for the client's anxiety. b) Administer the prescribed alprazolam (Xanax). c) Assist the client out of bed and into a chair. d) Administer the prescribed dose of morphine.

Assess the reason for the client's anxiety.

The client is prescribed 2 mg of intravenous morphine every 2 hours as needed for pain. The nurse administers the medication. Thirty minutes later, the client reports the pain level remains at a "6" on a pain intensity scale of 0 to 10. The nurse first a) Teaches the client about guided imagery and distraction b) Assesses the client's mental status and vital signs c) States that "You received the full dose. I can give you no more." d) Contacts the physician to report the ineffectiveness of the medication

Assesses the client's mental status and vital signs

The client takes naproxen (Aleve) for arthritic pain and is now prescribed warfarin (Coumadin) for persistent atrial fibrillation. Due to the interactions of the medications, the nurse a) Assesses the client's stool for color b) Teaches the client to ingest foods high in vitamin K c) Administers both medications with food to increase absorption d) Informs the client to decrease alcohol to one glass each day

Assesses the client's stool for color

When administering a fentanyl patch, the last dose of sustained-release morphine should be administered at what point? a) Prior to respiratory assessment b) Immediately following the morning shower c) At the same time the first patch is applied d) There are no administration requirements

At the same time the first patch is applied

When a nurse asks a patient to describe the quality of the pain, what type of descriptive term does the nurse expect the patient to use? a) Burning b) Intermittent c) Severe d) Chronic

Burning

When taking a patient history, the nurse notes that the patient has been taking herbal remedies in addition to acetaminophen for several years. Based on the admission history, the nurse understands that the patient is experiencing which of the following types of pain after an amputation? a) Phantom pain b) Acute pain c) Breakthrough pain d) Chronic pain

Chronic pain

Which of the following nursing interventions contributes to achieving a client's goal for pain relief? a) Prevent the client from self-administering analgesics. b) Collaborate with the client about his or her goal for a level of pain relief. c) Use all forms of available pain management techniques. d) Minimize the client's description of pain or need for pain relief.

Collaborate with the client about his or her goal for a level of pain relief.

When using transdermal Fentanyl, the nurse and patient should be aware of which sign or symptom of Fentanyl overdose? a) Insomnia b) Confusion c) Hyperventilation d) Hyperalertness

Confusion

A client receives hydromorphone 2 mg intravenously for report of postoperative pain. Fifteen minutes later, the nurse notes respirations are 6 breaths/minute and the client is nonresponsive. The nurse administers prescribed naloxone (Narcan). The next time the client reports pain, the best nursing action is: a) Consult with the healthcare provider to reduce the dose. b) Ensure naloxone is available. c) Withhold the hydromorphone. d) Administer one-half of the prescribed opioid dose.

Consult with the healthcare provider to reduce the dose.

The nurse is caring for a client in the hospital who has been taking an analgesic for pain related to a chronic illness and has developed a tolerance to the medication. What is the most appropriate action by the nurse? a) Inform the client that he will not be able to receive more medication than the physician has ordered. b) Consult with the physician regarding the need for an increased dose of the drug and not to reduce its dosage or frequency of administration. c) Inform the client that you will ask the physician to order a non-narcotic analgesic. d) Suggest a consultation with a psychiatrist to treat the client's addiction.

Consult with the physician regarding the need for an increased dose of the drug and not to reduce its dosage or frequency of administration.

A client being treated for rheumatoid arthritis has been prescribed a type of drug that is commonly used for joint inflammation. The nurse will administer an initial dose as an injection, and the client will continue taking an oral form of the medication. Which type of analgesic drug will the nurse administer? a) Corticosteroid b) Narcotic c) Antidepressant d) Opioid

Corticosteroid

Which of the following is the appropriate intervention to avoid physical dependence on drugs in a client? a) Administer adjuvant drugs along with the prescribed drug. b) Discontinue drugs gradually. c) Administer subtherapeutic doses. d) Increase dosage of the drug.

Discontinue drugs gradually.

Which of the following is the appropriate intervention to avoid physical dependence on drugs in a client? a) Administer adjuvant drugs along with the prescribed drug. b) Increase dosage of the drug. c) Discontinue drugs gradually. d) Administer subtherapeutic doses.

Discontinue drugs gradually.

Which of the following nursing interventions should a nurse perform when caring for a patient who is prescribed opiate therapy for pain? a) Monitor weight, vital signs, and serum glucose level b) Avoid caffeine or other stimulants, such as decongestants c) Do not administer if respirations are less than 12 per minute d) Monitor blood counts and liver function tests

Do not administer if respirations are less than 12 per minute

The client is scheduled for surgery. The nurse is reviewing with the client about postoperative pain management. The client states her goal after receiving treatment is "0." The first action of the nurse is to a) Plan to use medication and nonpharmacologic interventions. b) Ensure the client is prescribed large doses of opioids postoperatively. c) Educate the client that this goal may not be achievable. d) Notify the surgeon of the client's goal of "0."

Educate the client that this goal may not be achievable.

Which substance reduces the transmission of pain? a) Substance P b) Acetylcholine c) Serotonin d) Endorphins

Endorphins

A patient has been prescribed a Fentanyl patch for pain control. The nurse understands that this patch should be replaced how often? a) Every 72 hours b) Every 48 hours c) Every 24 hours d) Every 36 hours

Every 72 hours

The nurse needs to carefully monitor a patient with traumatic injuries. How often should the nurse check and document the patient's pain? a) Every time the patient's vital signs are assessed b) An hour after analgesics are administered c) After every meal consumed by the patient d) On admission and discharge of the patient

Every time the patient's vital signs are assessed

The nurse is administering a narcotic analgesic for the control of a newly postoperative patient's pain. What medication will the nurse administer to this patient? a) Ibuprofen (Motrin) b) Fentanyl (Duragesic) c) Midazolam (Versed) d) Acetaminophen (Tylenol)

Fentanyl (Duragesic)

The advance nurse practitioner treating a patient diagnosed with neuropathic pain decides to start adjuvant analgesic agent therapy. Which of the following medications is appropriate for the nurse practitioner to prescribe? a) Hydromorphone (Dilaudid) b) Ketamine (Ketalar) c) Gabapentin (Neurontin) d) Tramadol (Ultracet)

Gabapentin (Neurontin)

When taking a patient history, the nurse notes that the patient is taking herbal remedies in addition to acetaminophen. Which herb, when taken in conjunction with acetaminophen, enhances the risk of bleeding? a) Gingko b) Echinacea c) Willow d) Kava

Gingko

Prostaglandins are chemical substances with which of the following properties? a) Inhibition of the transmission of noxious stimuli b) Reduction of the perception of pain c) Increased sensitivity of pain receptors d) Inhibition of the transmission of pain

Increased sensitivity of pain receptors

About which of the following issues should the nurse inform patients who use pain medications on a regular basis? a) Consume the medications just before or along with meals b) Minimize the intake of fiber during the therapy c) Avoid harsh sunlight for two hours after administering analgesic agents or salicylates d) Inform the primary health care provider about the use of salicylates before any procedure, and avoid OTC analgesics consistently without consulting a physician

Inform the primary health care provider about the use of salicylates before any procedure, and avoid OTC analgesics consistently without consulting a physician

A client is recovering from abdominal surgery and sleeping. The client had received an opioid medication 3 hours ago. The client's son requests pain medication for the client, stating "I do not want her to wake up in pain." The first nursing action is a) Wake the client and ask about her pain rating. b) Instruct the son about lack of client consent. c) Administer the prescribed medication. d) Refuse to administer the pain medication.

Instruct the son about lack of client consent.

When drafting a nursing care plan for a patient in pain, it is important for the nurse to determine if the pain is acute or chronic. Choose an example of chronic pain. a) Appendicitis b) A migraine headache c) Intervertebral disk herniation d) Angina

Intervertebral disk herniation

Which medication should be readily available for patients receiving epidural opioids who are experiencing respiratory depression? a) Diphenhydramine b) Ibuprofen c) Naloxone d) Aspirin

Naloxone

The patient develops respiratory depression after the nurse administers fentanyl for pain. What medication can the nurse anticipate administering to counteract the effects of the fentanyl? a) Nubain b) Morphine c) Narcan d) Lidocaine

Narcan

An 82-year-old client has a long history of diabetes mellitus and developed diabetic neuropathy more than 25 years ago. He is without breakthrough pain at this point in time. How would his pain be classified? a) Neuropathic and chronic b) Neuropathic and acute c) Nociceptive and acute d) Nociceptive and chronic

Neuropathic and chronic

Which of the following pain assessment tools is most commonly used in adults? a) FACES scale b) Numeric scale c) Linear scale d) Word scale

Numeric scale

A client is reporting her pain as "8" on a 0-to-10 pain intensity scale. Then, the client states the pain is "3." Before the nurse leaves the room, the client states her pain is "6." The best action of the nurse is to a) Obtain a pain scale with faces for the client to measure her pain. b) Medicate the client for pain based on the highest number of "8." c) Average the numbers and report that number as the client's level of pain. d) Record each of the numbers the client stated for her pain.

Obtain a pain scale with faces for the client to measure her pain.

Which intervention is appropriate for a nurse caring for a client in severe pain receiving a continuous I.V. infusion of morphine? a) Obtaining baseline vital signs before administering the first dose b) Discontinuing the drug immediately if signs of dependence appear c) Changing the administration route to P.O. if the client can tolerate fluids d) Assisting with a naloxone challenge test before therapy begins

Obtaining baseline vital signs before administering the first dose

The nurse is administering an analgesic to an older adult patient. Why is it important for the nurse to assess the patient carefully? a) Older people metabolize drugs more rapidly. b) Older people are more sensitive to drugs. c) Older people have increased hepatic, renal, and gastrointestinal function. d) Older people have lower ratios of body fat and muscle mass.

Older people are more sensitive to drugs.

The nurse is assessing an older adult patient just admitted to the hospital. Why is it important that the nurse carefully assess pain in the older adult patient? a) Older people have a decreased pain threshold. b) Older people are expected to experience chronic pain. c) Older people have increased sensory perception. d) Older people experience reduced sensory perception.

Older people experience reduced sensory perception.

Which of the following is a physiologic response to pain? a) Pallor b) Bradycardia c) Hypotension d) Dry skin

Pallor

Which phase of pain transmission occurs when the brain experiences pain at a conscious level? a) Transduction b) Modulation c) Perception d) Transmission

Perception

Which phase of pain transmission occurs when the one is made aware of pain? a) Transmission b) Modulation c) Transduction d) Perception

Perception

Which of the following is a true statement regarding placebos? a) A placebo effect is an indication that the person does not have pain. b) A positive response to a placebo indicates that the person's pain is not real. c) Placebos should never be used to test the person's truthfulness about pain. d) A placebo should be used as the first line of treatment for the patient.

Placebos should never be used to test the person's truthfulness about pain.

Which of the following, approved by the U.S. Food and Drug Administration, is the only use for lidocaine 5% (Lidoderm) patch? a) Epidural anesthesia b) Postherpetic neuralgia c) General anesthesia d) Diabetic neuropathy

Postherpetic neuralgia

An elderly client has a fractured hip and is in Buck's traction. The client is disoriented and cannot express herself. At 0730 the client was calm. Now, at 0930, the client is restless and agitated. The nurse reviews the medication administration record. The last dose of opioid was at 0330. The nurse assesses the client's agitation may be from a) Effects of the opioid medication b) Increased uptake of opioids c) Recurring pain d) Diminished pain perception

Recurring pain

An elderly client has a fractured hip and is in Buck's traction. The client is disoriented and cannot express herself. At 0730 the client was calm. Now, at 0930, the client is restless and agitated. The nurse reviews the medication administration record. The last dose of opioid was at 0330. The nurse assesses the client's agitation may be from a) Recurring pain b) Effects of the opioid medication c) Increased uptake of opioids d) Diminished pain perception

Recurring pain

Opioid analgesics are effective pain management tools for many clients. A significant demographic within your practice are older adults who suffer from chronic pain. What impact does their age have on their initial dosing? a) Increased dose b) No impact at all c) Cannot use opioid analgesics to treat older adults d) Reduced dose

Reduced dose

The nurse's major area of assessment for a patient receiving patient-controlled analgesia is assessment of what system? a) Cardiovascular b) Integumentary c) Neurologic d) Respiratory

Respiratory

Which of the following is the most important potential nursing diagnosis for the client receiving opiate therapy? a) Risk for impaired gas exchange b) Diarrhea c) Risk for injury d) Altered mobility

Risk for impaired gas exchange

Which of the following is a heightened response seen after exposure to a noxious stimulus? a) Dependence b) Sensitization c) Pain tolerance d) Pain threshold

Sensitization

Which of the following is a disadvantage to using the IV route of administration for analgesics? a) Long duration b) Slower entry into bloodstream c) Short duration d) No risk of respiratory depression

Short duration

Which of the following is a true statement with regards to the preventative approach to the use of analgesics? a) Smaller doses of medication are needed. b) It promotes tolerance to analgesic agents c) The use increases peaks and troughs in the serum level. d) Larger doses of medication are needed.

Smaller doses of medication are needed.

What pain assessment scale would be best to use with a 5-year-old child? a) A pain assessment scale is inappropriate for a 5-year-old child. b) The FACES scale c) A Numerical Pain Scale d) A Visual Analog Scale

The FACES scale

The nurse informs the patient that a preventive approach for pain relief will be used, involving nonsteroidal anti-inflammatory drugs. What will this mean for the patient? a) The pain medication will be administered before the pain becomes severe. b) The pain medication will be administered when the level of pain tolerance has been exceeded. c) The pain medication will be administered when the pain is at its peak. d) The pain medication will be administered before the pain is experienced.

The pain medication will be administered before the pain is experienced.

The nurse informs the patient that a preventive approach for pain relief will be used, involving nonsteroidal anti-inflammatory drugs. What will this mean for the patient? a) The pain medication will be administered when the level of pain tolerance has been exceeded. b) The pain medication will be administered before the pain becomes severe. c) The pain medication will be administered when the pain is at its peak. d) The pain medication will be administered before the pain is experienced.

The pain medication will be administered before the pain is experienced.

A client who has undergone extensive fracture repair continues to request opioid pain medication with increasing frequency. Her initial surgeries occurred more than 2 months ago, and you are concerned about her repeated requests. What do you expect to be the cause of her frequent appeals for pain medication? a) Addiction b) Tolerance c) Drug allergy d) Poor quality control by drug manufacturer

Tolerance

A client who has undergone extensive fracture repair continues to request opioid pain medication with increasing frequency. Her initial surgeries occurred more than 2 months ago, and you are concerned about her repeated requests. What do you expect to be the cause of her frequent appeals for pain medication? a) Tolerance b) Drug allergy c) Addiction d) Poor quality control by drug manufacturer

Tolerance

Lily was admitted with generalized abdominal pain, nausea, vomiting, and hypotension. She says that she has not passed stool in over 1 week and has been in pain for the past 4 days. Which type of pain would you expect her to be experiencing? a) Deeper somatic pain b) Neuropathic pain c) Visceral pain d) Chronic pain

Visceral pain

Which of the following actions when preformed by the nurse indicates understanding of one basic principle of providing effective pain management? a) Continuing to provide around the clock pain medications 72 hours following a surgical procedure b) Wakening a new postoperative patient to take his or her pain medication c) Administering pain medications on a PRN (as needed) basis d) Administering a dose of an analgesic agent via patient-controlled analgesia (PCA) during rounds

Wakening a new postoperative patient to take his or her pain medication

In which case it is most likely that pain management may not be readily forthcoming to an adult patient who is in pain? a) When a numeric scale is used to assess pain intensity b) When analgesics are contraindicated for the patient's condition c) When the pain is chronic d) When the patient's expressions of pain are incongruent with the nurse's expectations

When the patient's expressions of pain are incongruent with the nurse's expectations

The client experienced abdominal surgery the previous day and has just received an opioid medication for report of pain. The client is sitting in a chair next to the bed. An additional activity that the nurse uses to relieve pain is a) apply ice to the incision site for 30 minutes b) have the client deep breathe and hold c) encourage the client to watch television d) assist the client to ambulate on the nursing unit

encourage the client to watch television

The client is taking oxycodone (Oxycontin) for chronic back pain and reports decreased pain relief when he began taking a herb to improve his physical stamina. The nurse asks if the herb is a) chamomile b) valerian c) kava-kava d) ginseng

ginseng Ginseng may inhibit the analgesic effects of an opioid, such as oxycodone. The other herbs listed (valerian, kava-kava, and chamomile) may increase central nervous system depression.

A client is prescribed methadone 10 mg three times a day for neuralgia following chemotherapy treatment. The client reports that he is experiencing constipation and asks the nurse for information about preventing constipation. The nurse recommends a) increasing the amount of bran and fresh fruits and vegetables b) ingesting up to 6 glasses of fluids per day c) using milk of magnesia 30 mL every day d) inserting a bisacodyl (Dulcolax) rectal suppository every morning

increasing the amount of bran and fresh fruits and vegetables

The client reports chest pain. The nurse uses which of the following questions to assess the pain further. Select all answers that apply. a) "You've never had this pain before, have you?" b) "Rate the pain on a scale of 0 to 10, with 10 being the worst possible pain." c) "How long have you experienced this pain?" d) "What aggravates your chest pain?" e) "Please point to where you are experiencing pain."

• "How long have you experienced this pain?" • "Please point to where you are experiencing pain." • "Rate the pain on a scale of 0 to 10, with 10 being the worst possible pain." • "What aggravates your chest pain?"

The nurse administered an analgesic to a client who was reporting pain. The medication is ordered as needed every 3 hours. Forty minutes later the client states he has had little relief. The nurse does all of the following: a) plans to place the client in a position of comfort when pain is relieved b) evaluates the pain level using the established pain scale c) states, "I can administer the medication to you in about 2 hours" d) assesses respirations, pulse, and blood pressure e) consults with the healthcare provider about the client's report

• evaluates the pain level using the established pain scale • assesses respirations, pulse, and blood pressure • consults with the healthcare provider about the client's report

The client has suffered an injury to his right leg and is reporting pain at the level of "5" on a scale of 0 to 10. The client has a history of peripheral arterial disease. The client requests nonpharmacologic interventions. The nurse does all of the following a) teaches the client to perform slow, rhythmic breathing b) turns on the television to a show the client asks to watch c) massages the client's back and shoulders d) consults with the healthcare provider about a macrobiotic diet e) applies ice to the injured site on the leg

• massages the client's back and shoulders • teaches the client to perform slow, rhythmic breathing • turns on the television to a show the client asks to watch